Individual
BEAU LUFBOROUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
605 KNIGHT ST, MILES CITY, MT 59301-2524
(406) 439-8619
Mailing address
605 KNIGH ST, MILES CITY, MT 59301-2425
(406) 439-8619
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
161378
MT
Other
Enumeration date
08/19/2014
Last updated
08/19/2014
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